For Payors
The Problem
Legacy models are evolving.
Dental payors are caught between rising provider costs, shrinking margins, and members who expect more than a static benefits card. The traditional tools - rate negotiations, static directories, generic mailers - aren't keeping pace. Volta was built to address what the claims model can't.
of dentists have dropped or are considering dropping PPO networks
Source: ADA Health Policy Institute, 2024
typical dental plan MLR - leaving little room to raise provider reimbursement
Source: NADP Dental Benefits Report
average PPO reimbursement write-down accepted by dental providers
Source: ADA Health Policy Institute
return on preventive dental investment vs. restorative costs
Source: Journal of Dental Hygiene, ADHA
Toolset for Change
A modular platform, built to expand.
Volta is a modular suite - start for free and upgrade as your program evolves.
Volta Perks Free
A free, co-branded member lander that links members to your plan and instantly saves them up to 70% on whitening, night guards and oral care products.
Learn MoreMember Wallet
Deposit reward dollars directly into a member's Shine account to incentivize healthy behaviors - triggered by your own internal data.
Learn MoreMember CE
Send targeted oral health education to specific members; they read, complete a short quiz, and earn wallet rewards automatically.
Learn MoreDelivery Dashboard & API
Trigger physical product, educational material, and promotional marketing delivery through the Volta dashboard or API.
Learn MoreInbox Campaigns
Deploy sequenced email campaigns to your members' Shine inboxes; Shine tracks opens, clicks, and conversions.
Learn MoreCustom Screening Surveys
Deploy targeted behavioral questionnaires to specific member segments or assign condition-specific clinical screenings for providers to complete at the point of care.
Learn MoreMember Assist
AI-powered benefits chat that answers member coverage questions instantly - deployable on your portal at in-network practices, or on broker sites.
Learn MoreFind a Dentist (SPI)
A continuously-verified, map-integrated provider directory embeddable in your member portal - replacing broken, static directories.
Learn MoreValue Proposition
More than a member benefit.
A strategic platform.
Volta gives dental payors a direct channel to members, a new value stack for providers, and a behavioral data layer that makes value-based care contracts measurable - all operating outside the traditional claims model.
Retain your network.
Give in-network providers revenue streams, tools, and patient growth that have nothing to do with reimbursement rates.
Engage members between claims.
Reach your population with education, incentives, and products - triggered by your own internal data, delivered by Shine.
Differentiate in employer sales.
Offer tangible, demonstrable member benefits no competing plan can match.
Build toward value-based care.
PHIP behavioral data gives you the measurement foundation to design and defend performance-based provider contracts.
Start for free.
Volta Perks costs nothing. Expand as you see results.
Get startedRetain your network.
Give in-network providers revenue streams, tools, and patient growth that have nothing to do with reimbursement rates.
Engage members between claims.
Reach your population with education, incentives, and products - triggered by your own internal data, delivered by Shine.
Differentiate in employer sales.
Offer tangible, demonstrable member benefits no competing plan can match.
Build toward value-based care.
PHIP behavioral data gives you the measurement foundation to design and defend performance-based provider contracts.
Start for free.
Volta Perks costs nothing. Expand as you see results.
Get startedExample Use Cases
See what's possible.
A few ways payors are putting Volta tools to work.
Preventive Engagement
Provider Loyalty
Member Education
Employer Differentiation
Value-Based Care
Payors in the Ecosystem
Drivers of innovation in oral health.
Payors are the drivers of value in the PHIP ecosystem. In addition to better engaging your patients with education and savings, payors can subsidize/sponsor tools for their providers to increase provider revenue and deliver convenience. The result is new datasets that are used for VBC, plan development, and incentive-based contracts. Click any node to explore.
Proud member of
One account. Every connection.
Patients create a free Shine account and link it with their dentist and insurance. One identity, one consent control panel, one portable history - the foundation for everything that flows through PHIP.
- Own and control your personal health data across every provider and insurer
- Track preventive habits between dental visits
- Access exclusive savings on recommended products
- Grant or revoke access with a single tap, any time
- Build a portable health score that follows you everywhere
Every connection flows through PHIP.
No two systems talk directly. PHIP sits in the middle - routing every interaction, checking every consent, recording every meaningful action, and translating the result into a standards-based format the rest of healthcare can read.
- Routes every interaction between patients, providers, and payors
- Checks consent on every request - no data flows without permission
- Records events using healthcare standard codes (CDT, ICD-10, SNOMED, LOINC)
- Exports natively to FHIR R4 for interoperability with any health system
- HIPAA-compliant from day one, with a tamper-proof audit trail
See the whole patient. Get rewarded for prevention.
ProviderPRO+ gives dental teams a clear view of what happens between visits - from the recommendation you sent, to the education the patient engaged with, to the products they purchased. Data-driven prevention you can actually measure.
- Watch patient engagement and follow-through between visits
- Recommend products and earn commissions through the commerce layer
- Track prevention outcomes that demonstrate your practice's value
- Connect with payor networks for reimbursement of preventive work
- Scales across multiple locations and DSO networks
Intelligence between the claims.
Volta gives insurance companies a view they've never had before: the signals between claim events. What members are doing, what providers are recommending, and which behaviors actually lead to better outcomes - all routed through PHIP with full consent.
- Behavioral data that claims alone can never reveal
- Identify highly-engaged members for risk adjustment and retention
- Fund preventive programs with measurable, documented ROI
- Reward healthy behaviors to improve member loyalty
- Transition from fee-for-service to value-based reimbursement
Patient ↔ Provider
- Patient behavioral data and prevention activities
- Product purchase history and engagement
- PHIP score trajectory for clinical context
- Clinical findings and diagnosis
- Personalized product and treatment recommendations
- Treatment plans and follow-up guidance
Patient ↔ Payor
- Behavioral engagement and prevention activity
- PHIP score for behavioral risk adjustment
- Follow-through on recommended products
- Benefits eligibility and coverage details
- Incentive programs and preventive rewards
- Value-based care enrollment status
Provider ↔ Payor
- Documented outcomes and prevention activities
- Clinical encounter data for reimbursement
- PHIP score evidence for value-based payments
- Value-based reimbursement and incentive payments
- Member eligibility and coverage data
- Prevention program funding and parameters